Baby In The Best Position For Birth. How To Get Baby Out Of Back-To-Back Position. Pregnant Woman holding baby bump. How to turn baby into anterior postion best position of baby in the womb.

Getting Your Baby In The Best Position For Birth (How To Get Baby Out Of Back-To-Back Position)

In the final weeks of pregnancy, you are probably preparing for labor and delivery. You make a birth plan, prepare your partner, pack your hospital bag. But your baby is preparing for birth, too. Towards the end of the third trimester the baby usually rotates to the optimal fetal position and drops into the pelvis. When the baby is settled and engaged like this, he/she is ready for birth. A few weeks before delivery, your doctor will check, if your baby has engaged and settled into the right position. Don’t worry, if it hasn’t happened, yet. There are a few things you can do to get your baby in the best position for birth. Here is how to get the baby out of back-to-back position.

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What Is The Best Fetal Position?

I keep saying, the baby being in the ideal position for birth is already half the rent to a quick, straightforward delivery. There really is no right or wrong, but some fetal positions are preferable and better for natural birth than others. Considered as the best or optimal fetal position is the so-called occipito-anterior position. This means the baby lies head-down (cephalic presentation) facing your back. In this position the baby will be able to move through the pelvis in the right angle. So the smallest part of the head can get through first, then the rest of the head can slide underneath the pubic bone later.

Why Is Occipito-Anterior The Best Fetal Position?

There are a lot of reasons, why the occipito-anterior position is the best fetal position for birth. As already mentioned above, the baby having enough room and the right angle to fit smoothly through the birth passage. Additionally, the baby will be able to tuck the chin into his/her chest more effortlessly, which makes birth a whole lot easier for your baby. Apart from that, in the occipito-anterior position the baby’s head puts ideal pressure on the cervix. This helps the cervix to open and thus leads to a better progress of labor. Generally speaking, the ideal position of the baby can speed up labor and delivery, reduce pain and the risk of further medical intervention and c-sections.

What If My Baby Is In A Back-To-Back Position?

When a baby lies head down but is facing the front of your tummy, it is called occipito posterior, also referred to as back-to-back position. This is not uncommon. Most babies that are in the occipito-posterior position are still born vaginally. Some babies who adapted this position in the womb even turn into an anterior position as labor progresses. Nonetheless, the back-to-back position often requires an assisted birth and sometimes even a c-section. Furthermore, women whose babies lie back-to-back are more likely to experience severe back labor pains. The reason is that the baby’s head is putting immense pressure on the spine. All in all, a baby facing the front during labor often means more pushes and longer, more complex labor as the baby’s chin is pushed up instead of tucked into the chest. Therefore, the baby passes through the pelvis less smoothly and might need assistance in doing so.

What Does It Mean If My Baby Is In The Breech Presentation?

A breech baby lies bottom-down. This means that during birth either feet or bottom will be delivered first. The breech position of a baby can complicate labor. Often doctors attempt to turn the baby in the last few weeks before delivery, in order to prevent the need for additional medical intervention during childbirth. In case the attempt of turning the breech baby wasn’t successful or the breech presentation was only discovered in late labor, a vaginal delivery might be still possible. Based on the exact fetal presentation, e.g. is it bottom first, legs flexed or feet first, and the individual situation, it will be decided if a c-section is the safest option for mother and baby.

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    How To Get Your Baby In The Best Position For Birth (Or How To Get Baby Out Of Back-To-Back Position):

    If the midwife found your baby is a breech baby or lies in the occipito posterior position, don’t panic. Most babies only get themselves in the ideal position for birth after 35 weeks of gestation, anyway. Before that, there is still too much room for your little one to move around freely. Some babies even won’t engage or find their ideal position till right up to birth. This is especially true, if you are not a first time mom. Is your baby lying breech or in the back-to-back position? There are a few things you can try to encourage your baby to settle into the optimal position for birth naturally.

    Stay Active

    Try to stay active right up to delivery, if you are not on bed rest. It is very beneficial for pregnancy and labor, even though you might feel extremely exhausted by now. In case you are working and your job involves a lot of sitting, get up regularly and take frequent breaks. Staying active during pregnancy and labor could help turning your baby into the ideal position. Because if you keep moving, you’re baby is encouraged to move around, too.

    Use A Birth Ball

    Some experts suggest that sitting on a birth ball with the knees higher than the hips regularly, can encourage babies to turn into the occipito-anterior position. A birth ball keeps your pelvis in a good position and makes it easier for the baby to drop and engage properly. During labor a birth ball is not only a good option to manage pain naturally, it could also encourage the baby to rotate into the ideal position.

    Do Pelvic Tilts

    Other expert advice includes practicing pelvic tilts. You can do this, for example, when you are in the hand-knee position or sitting on a birth ball. While sitting, especially on the couch or comfy chairs, always ensure you are tilting your pelvis forward rather than leaning back. This way, your baby finds enough room towards the front of your belly to turn into the best position for birth, instead of feeling the need to stay in a back-to-back position.

    Adapt The Hand-Knee Position

    Several times a day, try to adapt the hand-knee position for short periods of time – with or without pelvic tilts. Gravity can encourage your baby to turn from back-to-back into the occipito-anterior position and can create enough room for a breech baby to turn head down. Plus, kneeling on you hand and knees may relief back pains during the last trimester.

    Sleep On Your Side

    Sleeping on your side, is one ultimate must-do in pregnancy. From the second trimester onward it is extremely important to sleep on your side. It prevents the uterus from pressing on the aorta, which could significantly reduce the supply of blood, oxygen and nutrients to your baby. Additionally, when you are sleeping on your side, the baby will have more space to move and settle into the best position for birth. Consider using a pregnancy pillow for best comfort and optimal circulation of blood.

    Disclosure: This post contains affiliate links. As an affiliate, I may receive a commission on qualifying purchases, at no extra cost to you. Learn more.